Patient Benefits Analyst

We have a 1-year hybrid Patient Benefits Analyst contract in Jackson MS. The anticipated start date is immediate.

Our client is seeking an experienced Patient Benefits Analyst to support healthcare revenue cycle operations by analyzing insurance coverage eligibility and patient financial responsibility. The Patient Benefits Analyst will serve as a subject matter expert in benefits verification coverage discovery and revenue cycle optimization helping ensure accurate reimbursement and improved patient collection outcomes.

The ideal candidate will possess advanced Epic Professional Billing (PB) experience a strong understanding of healthcare insurance benefits and expertise in eligibility verification claims processes and revenue cycle workflows.

Key Responsibilities

• Review coverage discovery results for scheduled patient appointments to determine patient financial responsibility.
• Analyze and interpret insurance eligibility and benefit information to support accurate patient estimates and collections.
• Document coverage and eligibility findings appropriately within Epic.
• Monitor and identify trends related to insurance coverage eligibility outcomes and patient responsibility collections across multiple clinic locations.
• Recommend process improvements to enhance revenue capture patient collections and third-party reimbursement.
• Serve as a resource for insurance benefit interpretation coverage discovery and eligibility-related questions.
• Collaborate with clinical operational and revenue cycle leadership to communicate findings and improvement opportunities.
• Support reporting data analysis workflow optimization and staff education related to patient benefits and revenue cycle operations.
• Assist with clearinghouse and eligibility-related processes to improve operational efficiency and reimbursement outcomes.

Minimum Qualifications

• Epic PB experience (certification preferred)
• RHIA RHIT or CPC certification required.
• Experience in revenue cycle reporting build logic claims adjudication data and training.
• Experience with clearinghouse processes.
• Third-party coverage discovery.
• RTE (Real-Time Eligibility) interpretation.

Desired Qualifications

• Experience in public health community health physician practices Federally Qualified Health Centers (FQHCs) or Rural Health Clinics (RHCs).
• Experience supporting multi-site healthcare organizations.
• Mississippi healthcare experience is a plus.
• Epic Professional Billing (PB) - Advanced
• Insurance Benefits Interpretation - Subject Matter Expert
• Revenue Cycle Clearinghouse Operations - Subject Matter Expert
• Coverage Discovery & Eligibility Verification
• Revenue Cycle Analytics & Reporting
• Process Improvement & Workflow Optimization
• Stakeholder Communication & Leadership Collaboration

Minimum Application Requirements

Your application will be disqualified if you do not meet all these minimum application requirements.

• Must meet or exceed the Minimum Qualifications.
• Must be a current resident of the United States.
• Must have current work authorization for the United States.
• Must be a direct hire.

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